<html>
<head>
<title></title>
<meta http-equiv="content-type" content="text/html; charset=utf-8">

<style type="text/css">
<!--
.style1 {color: #ffffff}
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</style>
</head>
<body>
<table border=0 align="center" cellpadding=0 cellspacing=0>
	<tr>
		<td rowspan=5 background="surveystyle/0-42/pixi_blue.gif">
			<img src="surveystyle/0-42/spacer.gif" width=17 height=1 alt=""></td>
		<td height="82" background="surveystyle/0-42/pixi_blue.gif"><div style="padding-left:30px; font-size:24px; font-weight:bold; color:#FFF">问卷调查</div></td>
		<td rowspan=5 background="surveystyle/0-42/pixi_blue.gif">
<img src="surveystyle/0-42/spacer.gif" width=18 height=1 alt=""></td>
	</tr>
	<tr>
		<td height="600" valign="top" style="padding:10px">这里是表单代码</td>
	</tr>
  <tr> 
    <td style="padding-left:28;" class="style4"></td>
</tr>
	<tr>
<td><table width="552" border=0 align="center" cellpadding=0 cellspacing=0>
<tr>
<td><img src="surveystyle/0-42/basecurve-left.gif" width=9 height=10 alt=""></td>
<td><img src="surveystyle/0-42/spacer.gif" width=534 height=10 alt=""></td>
<td><img src="surveystyle/0-42/basecurve-right.gif" width=9 height=10 alt=""></td>
</tr>
</table></td>
</tr>
	<tr>
		<td width="552" background="surveystyle/0-42/pixi_blue.gif"></td>
	</tr>
<tr>
<td></td>
<td style="padding:4,0,0,28;"></td>
<td></td>
</tr>
</table>
</body>
</html>